Correlation between plasma glutathione peroxidase 4 and N-acetylneuraminic acid levels with clinical risk stratification and prognosis of patients with acute coronary syndrome

To investigate the correlation between plasma glutathione peroxidase 4 (GPX4) and N-acetyl-neuraminic acid (Neu5Ac) with clinical risk stratification and outcomes of acute coronary syndrome (ACS) patients. Between October 2018 and July 2019, 413 patients that were scheduled for coronary angiography...

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Veröffentlicht in:Saudi medical journal 2022-10, Vol.43 (10), p.1103-1110
Hauptverfasser: Li, Miao-Nan, Bao, Bing-Wei, Si-Yu, Ding, Chun-Fei, Ji, Xiao-Jun, Shi, Da-Sheng, Gao, Qin, Gao, Hong-Ju, Wang
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container_end_page 1110
container_issue 10
container_start_page 1103
container_title Saudi medical journal
container_volume 43
creator Li, Miao-Nan
Bao, Bing-Wei
Si-Yu, Ding
Chun-Fei, Ji
Xiao-Jun, Shi
Da-Sheng, Gao
Qin, Gao
Hong-Ju, Wang
description To investigate the correlation between plasma glutathione peroxidase 4 (GPX4) and N-acetyl-neuraminic acid (Neu5Ac) with clinical risk stratification and outcomes of acute coronary syndrome (ACS) patients. Between October 2018 and July 2019, 413 patients that were scheduled for coronary angiography were enrolled in this prospective study at the First Affiliated Hospital of Bengbu Medical College, Bengbu, China. Patients were divided into control and ACS groups. Patients with ACS were divided into 3 risk levels based on their thrombolysis in myocardial infarction risk score. After discharge, ACS patients were followed for the incidence of major adverse cardiac events (MACEs). For the analysis of cumulative endpoint event occurrences, the Kaplan-Meier method was applied. The ACS group had lower plasma GPX4 but higher Neu5Ac levels than the control group. There was a greater increase in plasma Neu5Ac in the high-risk group when compared with the medium-risk and low-risk groups, while GPX4 levels were higher in the low-risk group. The MACEs group had higher plasma Neu5Ac but lower GPX4 levels than the non-MACEs group. The plasma Neu5Ac was an independent risk factor but GPX4 was a protective factor for MACEs. Glutathione peroxidase 4 and Neu5Ac levels in plasma can be used to diagnose, stratify risks, and predict long-term outcomes in patients with ACS.
doi_str_mv 10.15537/smj.2022.43.10.20220444
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Between October 2018 and July 2019, 413 patients that were scheduled for coronary angiography were enrolled in this prospective study at the First Affiliated Hospital of Bengbu Medical College, Bengbu, China. Patients were divided into control and ACS groups. Patients with ACS were divided into 3 risk levels based on their thrombolysis in myocardial infarction risk score. After discharge, ACS patients were followed for the incidence of major adverse cardiac events (MACEs). For the analysis of cumulative endpoint event occurrences, the Kaplan-Meier method was applied. The ACS group had lower plasma GPX4 but higher Neu5Ac levels than the control group. There was a greater increase in plasma Neu5Ac in the high-risk group when compared with the medium-risk and low-risk groups, while GPX4 levels were higher in the low-risk group. The MACEs group had higher plasma Neu5Ac but lower GPX4 levels than the non-MACEs group. The plasma Neu5Ac was an independent risk factor but GPX4 was a protective factor for MACEs. Glutathione peroxidase 4 and Neu5Ac levels in plasma can be used to diagnose, stratify risks, and predict long-term outcomes in patients with ACS.</description><identifier>ISSN: 0379-5284</identifier><identifier>EISSN: 1658-3175</identifier><identifier>DOI: 10.15537/smj.2022.43.10.20220444</identifier><identifier>PMID: 36261209</identifier><language>eng</language><publisher>Saudi Arabia: Saudi Medical Journal</publisher><subject>Acids ; Acute coronary syndrome ; Acute Coronary Syndrome - diagnosis ; Acute coronary syndromes ; Biochemistry ; Development and progression ; Diagnosis ; Health aspects ; Humans ; Medical imaging ; Medical prognosis ; N-Acetylneuraminic Acid ; Peroxidase ; Phospholipid Hydroperoxide Glutathione Peroxidase ; Physiological aspects ; Plasma ; Prognosis ; Prospective Studies ; Risk Assessment ; Risk Factors ; Sialic acids</subject><ispartof>Saudi medical journal, 2022-10, Vol.43 (10), p.1103-1110</ispartof><rights>Copyright: © Saudi Medical Journal.</rights><rights>COPYRIGHT 2022 Saudi Medical Journal</rights><rights>Saudi Medical Journal 2022. This work is licensed under the Creative Commons Attribution – Non-Commercial License http://creativecommons.org/licenses/by-nc/3.0 (the “License”). 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Between October 2018 and July 2019, 413 patients that were scheduled for coronary angiography were enrolled in this prospective study at the First Affiliated Hospital of Bengbu Medical College, Bengbu, China. Patients were divided into control and ACS groups. Patients with ACS were divided into 3 risk levels based on their thrombolysis in myocardial infarction risk score. After discharge, ACS patients were followed for the incidence of major adverse cardiac events (MACEs). For the analysis of cumulative endpoint event occurrences, the Kaplan-Meier method was applied. The ACS group had lower plasma GPX4 but higher Neu5Ac levels than the control group. There was a greater increase in plasma Neu5Ac in the high-risk group when compared with the medium-risk and low-risk groups, while GPX4 levels were higher in the low-risk group. The MACEs group had higher plasma Neu5Ac but lower GPX4 levels than the non-MACEs group. The plasma Neu5Ac was an independent risk factor but GPX4 was a protective factor for MACEs. Glutathione peroxidase 4 and Neu5Ac levels in plasma can be used to diagnose, stratify risks, and predict long-term outcomes in patients with ACS.</abstract><cop>Saudi Arabia</cop><pub>Saudi Medical Journal</pub><pmid>36261209</pmid><doi>10.15537/smj.2022.43.10.20220444</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access
subjects Acids
Acute coronary syndrome
Acute Coronary Syndrome - diagnosis
Acute coronary syndromes
Biochemistry
Development and progression
Diagnosis
Health aspects
Humans
Medical imaging
Medical prognosis
N-Acetylneuraminic Acid
Peroxidase
Phospholipid Hydroperoxide Glutathione Peroxidase
Physiological aspects
Plasma
Prognosis
Prospective Studies
Risk Assessment
Risk Factors
Sialic acids
title Correlation between plasma glutathione peroxidase 4 and N-acetylneuraminic acid levels with clinical risk stratification and prognosis of patients with acute coronary syndrome
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